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Abstract

第4巻 2008年4月 第2号

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■症例から学ぶ

胸腺摘出術を契機に診断されたBasedow病の1例
吉野 直之, 山岸 茂樹, 岡田 大輔, 窪倉 浩俊, 三上 厳, 平田 知己, 小泉 潔, 清水 一雄
日本医科大学大学院医学研究科機能制御再生外科学
日本医科大学外科学(内分泌・心臓血管・呼吸器部門)

Grave's Disease Which Was Diagnosed after Thymectomy
Naoyuki Yoshino, Shigeki Yamagishi, Daisuke Okada, Hirotoshi Kubokura, Iwao Mikami, Tomomi Hirata, Kiyoshi Koizumi and Kazuo Shimizu
Department of Biological Regulation and Regenerative Surgery, Graduate School of Medicine, Nippon Medical School
Division of Thoracic Surgery, Department of Surgery, Nippon Medical School

Thymic hyperplasia commonly presents in association with Grave's disease. We report on a patient in whom Grave's disease was diagnosed after thymectomy. The patient, a 53-year-old man, was initially suspected to have thymoma, thymectomy was performed. Tachycardia and a high-grade fever developed immediately after surgery, suggesting thyroid crisis. The patient was treated with antithyroid drugs and beta blockers. The patient's condition improved thereafter, and the patient was discharged on the 18th hospital day. Histopathological examination of the resected thymic tissue revealed thymic hyperplasia. To our knowledge, there have been no reported cases of Grave's disease which had not been detected until the development of postoperative thyroid crisis, as in our patient. Therefore, we report this case with discuss the treatment performed.

日医大医会誌 2008; 4(2), 115-117

Key words
Grave's disease, thymic hyperplasia, thyroid crisis

Correspondence to
Naoyuki Yoshino, Division of Thoracic Surgery, Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan
E-mail:yoshinoy@nms.ac.jp

受付:2007年9月14日 受理:2007年10月17日

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